SCOTT J SQUIRE Physical Therapist License verification

Business Entity

NOT RENEWED

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST ASSISTANT

License Number

160006879

License Status

NOT RENEWED

Business

First Name

SCOTT J

Last Name

SQUIRE

Business Name

SCOTT J SQUIRE

Original Issue Date

08/12/2014

Effective Date

09/01/2015

Expiration Date

09/30/2017

City

GREEN VALLEY

State

Zip

61534

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/01/2017